Uridine monophosphate, folic acid and vitamin B12 in patients with symptomatic peripheral entrapment neuropathies

Pain Manag. 2016;6(1):25-9. doi: 10.2217/pmt.15.60. Epub 2015 Dec 17.

Abstract

Background: Carpal tunnel syndrome is the most common type of peripheral entrapment neuropathy.

Patients & methods: We performed an exploratory, open-label, multicenter, observational study of 48 patients with peripheral entrapment neuropathy. Patients received a daily capsule of uridine monophosphate, folic acid + vitamin B12 for 2 months and were evaluated using the Pain DETECT questionnaire.

Results: The global score for pain decreased from 17.3 ± 5.9 at baseline to 10.3 ± 6.1 at the final evaluation (p < 0.001). Concomitant analgesic and anti-inflammatory treatment was stopped or the dose reduced in 77.4% of patients.

Conclusion: Uridine monophosphate + folic acid + vitamin B12 reduced total pain score, intensity and characterization of pain and associated symptoms. These results should be tested in a well-designed, adequately powered randomized controlled trial.

Keywords: Keltican®; Pain DETECT; carpal tunnel syndrome; peripheral entrapment neuropathy.

Publication types

  • Multicenter Study
  • Observational Study

MeSH terms

  • Administration, Oral
  • Adult
  • Aged
  • Analgesics / therapeutic use*
  • Anti-Inflammatory Agents / therapeutic use*
  • Carpal Tunnel Syndrome / complications
  • Carpal Tunnel Syndrome / drug therapy
  • Female
  • Folic Acid / administration & dosage
  • Folic Acid / therapeutic use*
  • Humans
  • Male
  • Middle Aged
  • Nerve Compression Syndromes / complications
  • Nerve Compression Syndromes / drug therapy*
  • Pain / drug therapy*
  • Pain / etiology
  • Pain Measurement
  • Tarsal Tunnel Syndrome / complications
  • Tarsal Tunnel Syndrome / drug therapy
  • Treatment Outcome
  • Uridine Monophosphate / administration & dosage
  • Uridine Monophosphate / therapeutic use*
  • Vitamin B 12 / administration & dosage
  • Vitamin B 12 / therapeutic use*

Substances

  • Analgesics
  • Anti-Inflammatory Agents
  • Folic Acid
  • Uridine Monophosphate
  • Vitamin B 12